<div>
    <table>
        <tr><td id="cd_type"></td><td>
            <select id="member_type">
                <option id="cd_buyer"></option>
                <option id="cd_seller"></option>
                <option id="cd_shipper"></option>
                <option id="cd_provider"></option>
                <option id="cd_financeco"></option>
            </select>
        </td></tr>
        <tr><td id="cd_cn"></td><td><input type="text" id="companyName"></td></tr>
        <tr><td id="cd_e"></td><td><input type="email" id="participant_id"></td></tr>
    </table>
</div>
<div>
    <button class-"wide" id="cancel"></button> 
    <button class-"wide" id="submit"></button>
</div>